KORY ZACHERY (PA-C) – Physician Assistant, NPI 1407314370
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for KORY ZACHERY (PA-C)
714, Cedar Street, Lamplighter Square, Carrollton, Carroll County, Georgia, 30117, United States
CARROLLTON, GA 301172415
Phone: (678) 974-1240
Type: Location
157 CLINIC AVE STE 202
CARROLLTON, GA 301174454
Phone: (770) 333-2220
Type: Location
220 WINCHESTER DR
VILLA RICA, GA 301807421
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $465.
Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($180).
Total Amount
$465
General + Research + Ownership
Payments
16
Total payment records
General Amount
$465
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $180 |
| SEAGEN INC. | $75 |
| Bayer Healthcare Pharmaceuticals Inc. | $41 |
| Geron Corporation | $27 |
| Deciphera Pharmaceuticals Inc. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240723000392 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | GA |
Reviews
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